Stakeholder Opinions: Small Cell Lung Cancer and Malignant Mesothelioma
Scope
Report Highlights
Reasons to Purchase
Table of Contents
- ABOUT DATAMONITOR HEALTHCARE - page 2
- About the Oncology pharmaceutical analysis team - page 2
- Nish Saini - Lead Analyst, Oncology - page 2
- About the Oncology pharmaceutical analysis team - page 2
- CHAPTER 1 EXECUTIVE SUMMARY - page 3
- Scope of analysis - page 3
- Datamonitor insight into the small cell lung cancer market - page 3
- CHAPTER 2 SCLC OVERVIEW - page 10
- Introduction - page 10
- Subtypes - page 11
- SCLC strongly associated with smoking - page 12
- Diagnosis - page 13
- Staging - VALG or IASLC system? - page 13
- Nearly two-thirds are diagnosed in extensive stage - page 14
- Prognosis - page 15
- Poor prognosis in extensive stage - page 15
- Slow improvement in prognosis - page 16
- Epidemiology - page 17
- One-fifth of lung cancer cases are SCLC - page 17
- Decreasing incidence of SCLC - page 18
- Incidence calculation - page 20
- Incidence forecast calculation - page 21
- CHAPTER 3 CURRENT SCLC TREATMENT OPTIONS - page 24
- Introduction - page 24
- Treatment modalities - page 24
- Limited stage - page 24
- Surgical care remains confined to few patients - page 24
- Quality of surgery depends on surgeon specialty - page 25
- Surgery plus chemotherapy - page 25
- Chemoradiotherapy improves survival in limited stage SCLC - page 31
- Prophylactic cranial irradiation (PCI) for distant recurrence - page 32
- Extensive stage - page 33
- Chemotherapy alone is the primary treatment modality - page 33
- Limited stage - page 24
- Chemotherapy regimens - page 33
- CAV superseded by PE regimen - page 33
- Addition of a third agent to PE brings mixed results - page 34
- Ifosfamide improves survival at the expense of increased toxicity - page 34
- Paclitaxel not recommended for SCLC - page 34
- Taxotere confers modest efficacy - page 35
- Alternating regimens? - page 35
- Carboplatin as alternative to cisplatin - page 36
- Carboplatin plus etoposide more popular than cisplatin plus etoposide in the EU - page 37
- Irinotecan in Japan - page 38
- Success not replicated in the West - page 39
- Amrubicin in Japan - page 41
- High-dose and dose-intense chemotherapy in SCLC - page 41
- Second-line therapy - page 41
- Hycamtin remains the only approved drug for relapsed SCLC - page 42
- No standard therapy for refractory SCLC - page 43
- Amrubicin is used commonly in Japan - page 43
- Summary of Phase II trial results for second-line SCLC - page 46
- CHAPTER 4 UNMET NEEDS IN SCLC - page 47
- Introduction - page 47
- Unmet needs - page 47
- Improving prognosis of SCLC - page 47
- Need for earlier diagnosis - page 47
- Strong association with smoking - page 48
- Low curative surgery rate - page 48
- Lack of efficacious drugs - page 49
- Less toxic drug regimens required - page 49
- Low R&D interest - page 50
- Improving prognosis of SCLC - page 47
- CHAPTER 5 SCLC PIPELINE ANALYSIS - page 52
- Pipeline drugs for SCLC - page 52
- Pipeline drugs by phase - page 54
- Low number of Phase III drugs - page 54
- Pipeline drugs by drug class - page 55
- Two-thirds are molecular-targeted therapy - page 55
- Pipeline drugs by phase and drug class - page 56
- Pipeline drugs by phase - page 54
- Late-phase pipeline drug profile - page 57
- Alimta (pemetrexed) - Eli Lillly - page 57
- Profile - page 57
- Trial results - page 59
- Toxicity may be the key for Alimta in SCLC - page 61
- Potential US patent extension for Alimta - page 62
- Thalomid (thalidomide) - Celgene/Pharmion - page 62
- Trial results - page 63
- Limited potential in SCLC - page 64
- Other key pipeline drugs in Phase II development - page 64
- Picoplatin - Poniard Pharmaceuticals - page 65
- Avastin (bevacizumab) - Genentech/Roche - page 66
- Nexavar (sorafenib) - Bayer Schering/Onyx - page 67
- Iressa (gefitinib) - AstraZeneca - page 68
- Recentin (AZD2171) - AstraZeneca - page 69
- Alimta (pemetrexed) - Eli Lillly - page 57
- Pipeline drugs for SCLC - page 52
- CHAPTER 6 MALIGNANT MESOTHELIOMA - page 70
- Disease overview - page 70
- Types of mesothelioma - page 70
- Causes - page 70
- Staging - page 72
- Stage distribution - page 73
- Prognosis - page 74
- Epidemiology - page 75
- Current treatment options - page 77
- Surgery - page 77
- Radiotherapy - page 77
- Chemotherapy - page 77
- Alimta - page 78
- Gemzar - page 79
- Unmet needs in malignant mesothelioma - page 80
- Pipeline analysis - page 81
- Pipeline drug by phase - page 82
- Pipeline drug by drug class - page 83
- Late-phase pipeline drug profile - page 84
- Zolinza (vorinostat) - Merck & Co - page 84
- Onconase (ranpirnase) - Alfacell - page 85
- Disease overview - page 70
- APPENDIX - page 87
- Contributing experts - page 87
- UN Population Data - page 87
- Bibliography - page 88
- List of tables - page 103
- List of figures - page 105
- About Datamonitor - page 107
- About Datamonitor Healthcare - page 107
- About the Oncology analysis team - page 108
- Disclaimer - page 109
- List of Tables
- Table 1: Incidence of SCLC in the seven major markets, 2002 - page 20
- Table 2: Estimated incidence rates for SCLC, 2002-2016 - page 22
- Table 3: Forecast SCLC incidence, 2007-2016 - page 22
- Table 4: Five-year survival rates following resection by stage - page 25
- Table 5: Results of major 1980s and 1990s trials of neoadjuvant chemotherapy in SCLC, 1984-1994 - page 27
- Table 6: Results of Phase II trial by Tsuchiya et al. (2005) - page 29
- Table 7: Results of major trials of adjuvant chemotherapy in SCLC, 1978-2000 - page 30
- Table 8: Indirect comparison of amrubicin versus topotecan in second-line SCLC, 1997-2006 - page 44
- Table 9: Summary of recent Phase II trial results for second-line treatment of SCLC, 2003-06 - page 46
- Table 10: Pipeline drugs for SCLC, 2007 - page 52
- Table 11: Ongoing late-phase clinical trials for SCLC, 2007 - page 57
- Table 12: Summary results of Phase II trial by Socinski et al. (2006) - page 59
- Table 13: Summary results of Phase III trial by Breton et al. (2006) - page 63
- Table 14: Summary results of Phase II trial by Cooney et al. (2005) - page 63
- Table 15: Ongoing Phase II trials of Avastin in SCLC, 2007 - page 67
- Table 16: Various staging systems used for mesothelioma - page 72
- Table 17: Epidemiologic features of malignant mesothelioma, 2005 - page 75
- Table 18: Summary results of Phase III trial by Vogelzang et al. (2003) - page 78
- Table 19: Pipeline drugs for malignant mesothelioma, 2007 - page 81
- Table 20: Ongoing late-phase clinical trials for mesothelioma, 2007 - page 84
- Table 21: Summary results of Phase II trial by Mikulski et al. (2002) - page 85
- Table 22: Interim analysis of Phase IIIb trial for Onconase in mesothelioma, 2006 - page 86
- Table 23: UN Population Data, 2002-2016 - page 87
- List of Figures
- Figure 1: Anatomy of the respiratory system - page 11
- Figure 2: Stage distribution at diagnosis - page 14
- Figure 3: Two-year survival rate and median survival by stage - page 15
- Figure 4: Five-year survival rates of NSCLC and SCLC in the US, 1975-2002 - page 16
- Figure 5: Two- and five-year survival rates for SCLC in the US, 1973-2002 - page 17
- Figure 6: Proportion of SCLC versus NSCLC in the US and EU, 2006 - page 18
- Figure 7: Incidence rate of SCLC in the US,1975-2003 - page 19
- Figure 8: Incidence of SCLC in the seven major markets, 2002 - page 21
- Figure 9: Forecast SCLC incidence, 2007, 2010, 2013, 2016 - page 23
- Figure 10: Use of various chemotherapy regimens in the EU for SCLC in first line, 2006 - page 37
- Figure 11: Use of various chemotherapy regimens in Japan for SCLC in first line, 2005 - page 39
- Figure 12: Sales volume of cigarettes in China, 1981-1995 - page 48
- Figure 13: Pipeline drugs for SCLC by phase, 2007 - page 54
- Figure 14: Pipeline drugs for SCLC by drug class, 2007 - page 55
- Figure 15: Pipeline drugs by phase and drug class, 2007 - page 56
- Figure 16: Percentage use of Alimta by indication in the five major EU markets, 2006 - page 58
- Figure 17: Summary results of Phase II trial by Socinski et al. (2006) - page 60
- Figure 18: Correlation between mesothelioma incidence and asbestos use, 1995-2000 - page 71
- Figure 19: Stage distribution at diagnosis in the US, 1996-2002 - page 73
- Figure 20: Five-year survival rates for mesothelioma in the US, 1975-1998 - page 74
- Figure 21: Incidence rate of malignant mesothelioma in the US, Europe and Japan, 2005 - page 76
- Figure 22: Unmet needs in malignant mesothelioma, 2007 - page 80
- Figure 23: Pipeline drugs for mesothelioma by phase, 2006 - page 82
- Figure 24: Pipeline drugs for mesothelioma by drug class, 2006 - page 83
Other users found this report page using the following search terms: small cell lung cancer lung cancer sclc mesothelioma survival incidence lung cancer vorinostat development results rates malignant
If you can't find a report that meets your needs contact LeadDiscovery. We are one of the few report providers with extensive drug development experience and we frequently use this knowledge to help clients source the most appropriate reports or produce reports for them from scratch.